M66.0
M66.0: Rupture of popliteal cyst
Billable / specific codeICD-10-CM
M66.0 is a billable, specific ICD-10-CM code for rupture of popliteal cyst. It is valid for submission on a claim.
Check M66.0 with the rest of the claim: free scrubberExcludes2 inherited from the categories above M66.0
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with M66.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M71.2Synovial cyst of popliteal space [Baker]
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M66.0 is named in 13 Medicare coverage policies: 6 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58883Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
Alphabetic index entries that lead here
- Cyst›Baker's›ruptured
Code history
Unchanged in every release from FY2024 to FY2027.